Determining a Cut-off Point for Evaluating the Ability of Activities of Daily Living Using the Short Physical Performance Battery Score in Older Adults Requiring Care

Daisuke Takagi,Masatoshi Kageyama,Akihiro Morikami

doi:10.15344/2455-7498/2020/162

Abstract

Background: Little is known regarding the cut-off value of the short physical performance battery in assessing independence or dependence in carrying out activities of daily living in older adults requiring care. Clarifying the cut-off value for short physical performance battery could be a useful screening test for the detection of participants in whom the ability to carry out activities of daily living may decline. Methods: In the present cross-sectional study, we recruited 37 participants aged 60 years or older requiring care using long-term care insurance in Japan [12 men, 25 women, average age (standard deviation): 84.0 (7.3) years]. Short physical performance battery and barthel index as the ability to carry out activities of daily living were measured. The relationship between barthel index (Group 1: ≥85 and Group 2:

Highlights

According to the World Health Organization (WHO), the proportion of older adults, over the age of 60, in the total global population will move from 12% to 22% in 2050 [1]
The cut-off value for the short physical performance battery score in barthel index was 4. These findings suggest that the cut-off value of the short physical performance battery with respect to the ability to carry out activities of daily living could be useful in assessing participants requiring care who will need to be even more assisted in a daily basis
The short physical performance battery (SPPB) score was an independent explanator of Barthel index (BI), and the cut-off value for the SPPB score was 4 points. These findings suggest that the cut-off value of the SPPB with respect to the ability to carry out activities of daily living (ADL) could be useful in the detection of participants requiring care who will need to be even more assisted in daily basis

Summary

Introduction

According to the World Health Organization (WHO), the proportion of older adults, over the age of 60, in the total global population will move from 12% to 22% in 2050 [1]. Clarifying the cut-off value for SPPB could be a useful screening test for the detection of participants requiring care in whom the ability to carry out ADL may decline. The purpose of this cross-sectional study was to clarify the cut-off value for SPPB with respect to the ability to carry out ADL in older adults requiring care. We expected that the cut-off value for the SPPB score should be able to discriminate the older adults requiring care who need even more assistance in doing ADL from those who don’t need more assistance in carrying out ADL

Methods

Results

Conclusion